I'm not convinced that 'controlling' / modifying cholesterol is the correct approach for prevention of CVD. Perhaps high cholesterol is not the cause of CVD but merely a marker for other conditions are the true cause of CVD?

Additionally, I'm not convinced that statins are a good thing.

I refused them and instead cleaned up my diet, dropped 30 lbs & 3 to 4" off my waist. That the 'medical community' has guidelines that would place ~20%+ of US adults on statins makes me wonder.

You can probably increase the low HDL with some exercise, which will lower the ratio, and will greatly reduce CVD risk. The LDL is high-ish, and could be why your Dr. wants you on statins, which will drop it 40 points. Do you have a family history or are you overweight?